NEW YORK STATE DEPARTMENT OF HEALTH DIVISION OF FAMILY HEALTH BUREAU OF EARLY INTERVENTION NYS EARLY INTERVENTION PROGRAM REPORT TO THE LEGISLATURE JANUARY 1, 2007 – DECEMBER 31, 2007 New York State Department of Health Division of Family Health Bureau of Early Intervention Early Intervention Program Annual Report to the Legislature January 1, 2007 - December 31, 2007 Under Section 2557 of the Public Health Law (PHL), the Department of Health is required to prepare and submit an annual report to the Governor and Legislature, for the Early Intervention Program (EIP). Specifically, the Department is required to report data, by municipality, on the EIP for the purposes of improving the efficiency, cost effectiveness, and quality of the EIP. This report covers the period from January 1, 2007 - December 31, 2007. Data Collection Methods Since the inception of the EIP, the Department has supplied municipalities with a software application, known as the Kids Integrated Data System (KIDS), to use for the collection of data, local management of EIP activities, payment of bills submitted by providers, and processing of claims to commercial insurers, Medicaid, and the Department. The Department maintains the KIDS application and periodically issues revised versions of the application to municipalities to meet new program requirements and/or improve data collection capabilities. All fifty-eight municipalities use KIDS for data collection and to assist with the management of program activities. All municipalities, with the exception of New York City, use the billing and claiming components of KIDS. New York City uses a contractor for its provider payment and claiming processes. The following other counties also used fiscal agents during the current reporting period to manage their claiming procedures, but use KIDS for claims processing: Dutchess, Erie, Genesee, Monroe, Niagara, Orleans, Suffolk, and Wayne. KIDS is a distributed data system. Data are collected locally using KIDS and submitted to the Department four to five times per year. The Department maintains and regularly updates its state-level database on the EIP, using quarterly data submitted by municipalities. This state-level database is used by the Department for program management purposes and to comply with federal and State reporting requirements, including this report. In addition to KIDS, the Department maintains a Fiscal System application, which it uses to process all claims submitted by municipalities for State reimbursement. In accordance with State law, municipalities must submit claims for payment within two years of the date of service. Page 1 of 6 Data Table Descriptions and Data Limitations Section 2557 of PHL requires the Department to report on data collected from January 1, 2007 through December 31, 2007. Child and provider data included in this report are based on data submitted to the Department by municipalities in May 15, 2008 and are complete through March 31, 2008. Medicaid data were supplied by the Office of Health Insurance Programs, using the Medicaid Management Information System. As required under Section 2557(4) of PHL, data are reported by county, New York City, and the Rest of State excluding New York City, and State. The following describes the data included in each of the tables, along with limitations that should be considered when interpreting the data. Table 1 presents the number of children enrolled in the EIP by age. Children with an IFSP continuing in the program are assigned to an age group based on their age on January 1, and children entering the program in 2007 were assigned to an age group based on their age on the date of the initial IFSP. Tables 2 and 3 present the number and percent of children authorized to receive a single service and authorized to receive multiple services, respectively, by type of service. For the purposes of these analyses, service coordination, evaluations, transportation, assistive technology devices, and respite services are excluded. For Table 2, a child is counted as receiving a single service if s/he was authorized to receive only one type of general early intervention service (e.g., physical therapy only, speech therapy only, or occupational therapy only.) during the entire time period, regardless of the length of time during the reporting period for which the service was authorized. For example, if a child received an initial IFSP in October, and was authorized to receive speech language therapy and no other service for the months of November and December, the child is counted as receiving a single service. For Table 3, a child is counted as receiving multiple services if s/he was authorized to receive two or more services at any time during the entire time period, regardless of whether authorizations for each type of service were overlapping or consecutive (e.g., consecutive weeks or months between January 1, 2007 – December 31, 2007). Each child is counted under every service type for which they were authorized during this twelve-month period. For example, if a child received an initial IFSP in July, was authorized to receive physical therapy in September, and occupational therapy in December, the child is counted as receiving multiple services, and is counted under both service types. As a result of children being counted repeatedly across different service types, the sum of percentages across the service types is more than 100%. Page 2 of 6 Table 4 presents the number of State-approved agencies 1 and independent (individual) service providers that were under direct contract with one or more municipalities, and therefore were available to provide services to children during this time period, by service specialty, in full-time equivalents (FTEs). Agency and individual providers that are only approved by the Department and not reported as under contract, either by a municipality or by an approved agency (for individuals), are not included. These data are derived from applications submitted by providers at the time State approval is sought, and do not include changes after the initial application to the Department. Provider contract status is reported periodically to the Department by municipalities. These data likely underrepresent the current FTEs available to deliver early intervention services, particularly for agency providers. Tables 5 and 6 present the number and percent of children authorized to receive a single service and multiple services, respectively, by the type of provider authorized to deliver the service(s) to the child. Table 5 displays the data by agency and individual provider. Table 6 presents the data by agency only, individual only, and both individual and agency, since children authorized to receive multiple services may be authorized to receive services from both agencies and individual providers. Table 7 displays the number of State-approved providers under contract with municipalities to provide evaluations, and the number and percent of evaluators who delivered services to children whom they evaluated. Table 8 displays the number and percent of children whose families were authorized to receive supportive services, which are defined as family training, counseling, parent support groups, or respite. Table 9 displays the number and percent of children who were reported to have some form of third party insurance coverage during the reporting period. Children with unknown insurance status had no commercial insurance coverage or Medicaid coverage information reported during the time period. Table 10 displays the number and percent of claims submitted to commercial insurers and the claims denied by insurers that were reconciled during the reporting period. Data submitted by municipalities using KIDS include claims submitted to insurers prior to January 1, 2007 that were subsequently denied, paid, or partially paid by insurers and reconciled between January 1, 2007 and December 31, 2007. Data reported by fiscal agents under contract with 1 Under EIP regulations, an agency means incorporated entities, sole proprietorships, partnerships, and state operated facilities operating under the approval of any state early intervention agency. “Individual” providers means qualified individuals with appropriate licensure, certification, or registration identified as qualified personnel for purposes of the EIP. Page 3 of 6 municipalities to perform claiming functions include only those claims that were both submitted and reconciled during the period. Table 11 displays the number and percent of claims submitted by municipalities that were denied by commercial insurers by reason of denial. The following are definitions used to report reasons for denial of claims by insurers: • Service Not Covered - Denial of payment by an insurer for a service known to be in the child benefit package, for one of the following reasons: not a covered service, equipment, or device; or denied based on location of service (e.g., home or community setting). • No Response from Insurer - No response from an insurer after repeated contact attempts by the municipality. • Other Denial - Denial of payment for any reason other than those mentioned. • Not Medically Necessary - Denial of payment by an insurer when preauthorization was sought and denied by the insurer or when the insurer has determined, independent of any preauthorization requirement, that the service was not medically necessary. • Out-of-Network Provider - Denial of payment by an insurer based on the use of a non-participating provider. • No Preauthorization Obtained - Denial of payment because preauthorization for the service was required, but was not sought and/or obtained by the municipality. Several municipalities indicated to the Department that this field was also used to report denials when preauthorization was sought, and the insurer denied the preauthorization. • Benefits Exhausted - Denial of payment when policy limits have been reached (either visit limits or amount of reimbursement). This includes claims not submitted by municipalities to insurers upon notification that benefits have been exhausted. • Exceeds Insurer’s Claiming Limit - Denial of payment by an insurer when the claim exceeds the timeframe from date of service required by the insurer. • Child Not Covered - Denial of payment by the insurer for services delivered to a child at a time when the child was not covered by the insurer (e.g., policy terminated or not renewed or services provided prior to the effective date). • No Primary Care Physician Referral - Denial of payment by an insurer for failure to obtain a referral from the primary care provider prior to the provision of services (including evaluation services). • Technical Errors - Denial of payment by an insurer due to technical errors on the claim, such as incorrect policy number, incorrect procedure code, incorrect or missing diagnosis, incorrect date of service, or duplicate dates of service. • Government Service Blanket Rejection - Denial of payment by an insurer because the service was provided by a governmental program. Page 4 of 6 Tables 12 and 13 display the number and amount of claims submitted to Medicaid by payment status (Table 12), and reasons for denial of claims (Table 13). Department Guidance and Oversight of the EIP The Department used these and other data to improve ongoing state-level management and oversight of the EIP through the actions described below. • A statewide monitoring system to review municipal administration of the EIP and agency and individual providers engaged in the service delivery system. Through its contractor, IPRO, the Department has completed two cycles of monitoring for all agency and individual providers contracted to deliver early intervention services and has completed a second monitoring cycle of the 58 municipalities as service providers. In addition, two monitoring cycles of the municipalities as local administrators will be completed by November 2008. A total of 1,906 comprehensive reviews were conducted during the first cycle of monitoring and 1,588 during the second cycle to date. Corrective Action Plans (CAPs) are required and submitted when deficiencies are identified. Immediate remediation of serious deficiencies is required, with municipal oversight of remediation efforts. Focused site reviews are also conducted to ensure remediation has been completed according to the terms of the approved corrective action plan. To date, 398 focused reviews have been completed. • Implementation of an auditing program for the EIP, including development and dissemination of an audit protocol for use in auditing providers and municipalities by the Department, and development of data-driven criteria to prioritize provider audits. • Continuation of State-level matches of the EIP and Medicaid eligibility files to submit retroactive claims for federal Medicaid reimbursement. To date, more than $109 million in federal reimbursement has been achieved through this process since 1999. • The Department continues work to develop a state-of-the-art web-based data system to replace the EIP’s aging legacy system, KIDS. Known as the New York State Early Intervention System (NYEIS), the new system will handle current and future business, statutory, and regulatory requirements and will employ proven hardware and software technology to ensure that data security meets defined performance standards, is cost effective, and easy to maintain and operate. NYEIS will provide controls to support EIP’s legal and financial responsibilities and protect EIP’s administrative and managerial integrity. Page 5 of 6 While NYEIS will serve EIP’s most urgent needs, it will also provide a basis on which additional functional modules can be deployed as needed. It will provide the EIP with effective and efficient management tools on the State and local levels for the administration, reporting, and analysis of integrated EIP data. NYEIS will provide near-real-time interfaces to other systems/agencies and external providers (such as Medicaid), which will maximize reimbursement from Medicaid and third party insurances, thereby reducing the costs for the EIP to the State and localities. It is anticipated that NYEIS will be fully operational statewide in 2009. • The Department continues to maintain the existing distributed data system, KIDS, which captures information about children participating in the EI program on the local level, and which assists municipalities in claiming reimbursement for EI services from insurance, Medicaid, and the State. These efforts include release of updated versions of KIDS to implement technical improvements and correct identified problems, and providing technical assistance and support to municipalities on the day-today operation of KIDS. • The Department and State Education Department continue to provide ongoing training and technical assistance to municipalities, EIP providers, school district personnel, and parents to provide direction necessary to ensure that children potentially in need of Preschool Special Education receive an evaluation from their school districts by age three; and to ensure the smooth and timely transition of all children from the EIP to other services and supports, as needed. • The Department continues to provide ongoing training and technical assistance to municipalities, EIP providers, and parents to improve evaluation procedures used to determine eligibility for children referred to the EIP. • Training contracts have been established to deliver ongoing statewide training for providers, municipalities, and parents on a variety of topics related to the EIP, and to develop new and revised curricula for the EIP. • The Department holds an annual meeting with Early Intervention Officials/ Managers to disseminate information and discuss policy changes with municipal officials responsible for local implementation of the EIP. It also provides the municipalities with an opportunity to network and problemsolve with each other. • The Department holds bimonthly conference calls with Early Intervention Officials/Managers to provide training, technical assistance, program updates and guidance. Page 6 of 6 Table 1 - Number and Percent of Children Within Municipalities Enrolled in the Early Intervention Program By Age. January 1, 2007 - December 31, 2007 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State All Children Enrolled (1) 460 66 578 196 227 287 204 112 357 144 130 120 1,057 2,467 77 103 75 198 145 3 73 189 67 152 102 1,931 84 4,264 663 477 1,280 178 1,415 112 363 91 168 487 2,236 151 498 280 70 40 72 237 3,236 229 152 321 483 224 162 289 3,854 82 51 34,419 31,769 66,188 Birth -< 1 Year Old Number Percent (3) 40 8.7% 10 15.2% 131 22.7% 34 17.3% 38 16.7% 58 20.2% 47 23.0% 19 17.0% 35 9.8% 15 10.4% 8 6.2% 24 20.0% 107 10.1% 296 12.0% 7 9.1% 6 5.8% 7 9.3% 17 8.6% 16 11.0% 0 0.0% 7 9.6% 23 12.2% 11 16.4% 25 16.4% 14 13.7% 216 11.2% 8 9.5% 467 11.0% 65 9.8% 58 12.2% 168 13.1% 20 11.2% 209 14.8% 19 17.0% 47 12.9% 18 19.8% 34 20.2% 61 12.5% 401 17.9% 15 9.9% 43 8.6% 32 11.4% 16 22.9% 6 15.0% 9 12.5% 28 11.8% 392 12.1% 48 21.0% 26 17.1% 38 11.8% 79 16.4% 26 11.6% 14 8.6% 27 9.3% 494 12.8% 3 3.7% 10 19.6% 4,298 12.5% 4,092 12.9% 8,390 12.7% Age Group (2) 1 -< 2 Years Old Number Percent (3) 142 30.9% 20 30.3% 194 33.6% 53 27.0% 68 30.0% 83 28.9% 56 27.5% 44 39.3% 144 40.3% 54 37.5% 44 33.8% 36 30.0% 334 31.6% 666 27.0% 25 32.5% 28 27.2% 19 25.3% 76 38.4% 42 29.0% 0 0.0% 25 34.2% 61 32.3% 26 38.8% 47 30.9% 34 33.3% 603 31.2% 24 28.6% 1,234 28.9% 205 30.9% 128 26.8% 414 32.3% 57 32.0% 504 35.6% 29 25.9% 110 30.3% 20 22.0% 43 25.6% 154 31.6% 706 31.6% 72 47.7% 159 31.9% 89 31.8% 23 32.9% 12 30.0% 23 31.9% 83 35.0% 931 28.8% 75 32.8% 54 35.5% 112 34.9% 148 30.6% 96 42.9% 54 33.3% 81 28.0% 1,228 31.9% 26 31.7% 13 25.5% 9,715 28.2% 9,831 30.9% 19,546 29.5% 2 -< 3 Years Old Number Percent (3) 256 55.7% 33 50.0% 221 38.2% 106 54.1% 110 48.5% 139 48.4% 89 43.6% 49 43.8% 157 44.0% 68 47.2% 70 53.8% 55 45.8% 568 53.7% 1,435 58.2% 45 58.4% 64 62.1% 48 64.0% 95 48.0% 82 56.6% 2 66.7% 37 50.7% 97 51.3% 30 44.8% 75 49.3% 49 48.0% 970 50.2% 52 61.9% 2,308 54.1% 333 50.2% 272 57.0% 622 48.6% 83 46.6% 698 49.3% 63 56.3% 185 51.0% 50 54.9% 84 50.0% 256 52.6% 1,070 47.9% 57 37.7% 255 51.2% 146 52.1% 28 40.0% 18 45.0% 35 48.6% 111 46.8% 1,866 57.7% 103 45.0% 68 44.7% 140 43.6% 233 48.2% 98 43.8% 87 53.7% 166 57.4% 1,948 50.5% 43 52.4% 25 49.0% 17,410 50.6% 16,453 51.8% 33,863 51.2% 3+ Years Old Number Percent (3) 22 4.8% 3 4.5% 32 5.5% 3 1.5% 11 4.8% 7 2.4% 12 5.9% 0 0.0% 21 5.9% 7 4.9% 8 6.2% 5 4.2% 48 4.5% 70 2.8% 0 0.0% 5 4.9% 1 1.3% 10 5.1% 5 3.4% 1 33.3% 4 5.5% 8 4.2% 0 0.0% 5 3.3% 5 4.9% 142 7.4% 0 0.0% 255 6.0% 60 9.0% 19 4.0% 76 5.9% 18 10.1% 4 0.3% 1 0.9% 21 5.8% 3 3.3% 7 4.2% 16 3.3% 59 2.6% 7 4.6% 41 8.2% 13 4.6% 3 4.3% 4 10.0% 5 6.9% 15 6.3% 47 1.5% 3 1.3% 4 2.6% 31 9.7% 23 4.8% 4 1.8% 7 4.3% 15 5.2% 184 4.8% 10 12.2% 3 5.9% 2,996 8.7% 1,393 4.4% 4,389 6.6% Data Source: KIDS data complete as of 3/31/2008 (1) Enrolled in EI - Children were counted if they were enrolled in EI at any time during the year, regardless of the length of time in the EIP. The "All Children Enrolled" total in this table is greater than the sum of "Single Service Children" (Tables 2 & 5) and "Multiple Service Children" (Tables 3 & 6) because some children with IFSPs may only be authorized for services which were excluded in those tables, like service coordination or evaluations. (2) Age - Children with an IFSP continuing in the program were assigned to an age category based on their age on January 1, and children entering the program were assigned to an age category based on the date of the initial IFSP. (3) Sum of percents may not equal 100% due to rounding. Table 2 - Number and Percent of Children Within Municipalities Authorized to Receive A Single Early Intervention Service By Type of Service. January 1, 2007- December 31, 2007 Service Type (1, 2) Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Single Service AT Children Service 170 0.0% 29 0.0% 259 0.0% 101 0.0% 97 0.0% 149 0.0% 95 0.0% 50 0.0% 154 0.0% 53 0.0% 61 0.0% 48 0.0% 450 0.0% 1,168 0.0% 41 0.0% 57 0.0% 23 0.0% 49 0.0% 50 0.0% 2 0.0% 21 0.0% 84 0.0% 21 0.0% 47 0.0% 41 0.0% 856 0.0% 33 0.0% 1,523 0.1% 284 0.0% 178 0.0% 458 0.0% 69 0.0% 506 0.0% 41 0.0% 127 0.0% 34 0.0% 67 0.0% 145 0.0% 630 0.0% 50 0.0% 201 0.0% 92 0.0% 24 0.0% 26 0.0% 32 0.0% 75 0.0% 1,024 0.0% 81 0.0% 74 0.0% 102 0.0% 183 0.0% 130 0.0% 79 0.0% 144 0.0% 1,483 0.1% 29 0.0% 22 0.0% 3,356 0.0% 12,122 0.0% 15,478 0.0% Audiology 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 1.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.1% Fam Cnsl/ Sup (3) 0.0% 0.0% 2.7% 1.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.9% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.3% 0.0% 0.5% 0.0% 0.0% 0.0% 0.0% 0.0% 2.6% 0.0% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 1.9% 0.5% 0.8% Nutrition 0.0% 0.0% 0.4% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.5% 0.0% 0.0% 0.7% 0.0% 0.0% 0.0% 0.1% 0.0% 0.1% OT 2.9% 3.4% 5.0% 1.0% 3.1% 8.7% 5.3% 6.0% 0.6% 1.9% 1.6% 2.1% 1.6% 2.3% 0.0% 3.5% 8.7% 6.1% 0.0% 0.0% 9.5% 2.4% 9.5% 8.5% 2.4% 1.8% 6.1% 1.1% 1.4% 5.6% 2.8% 1.4% 2.0% 12.2% 1.6% 2.9% 0.0% 0.7% 3.5% 0.0% 0.5% 2.2% 4.2% 3.8% 3.1% 6.7% 1.2% 1.2% 2.7% 2.9% 1.1% 0.0% 1.3% 0.7% 2.4% 0.0% 4.5% 4.8% 2.2% 2.8% PT 25.3% 37.9% 30.5% 25.7% 28.9% 23.5% 32.6% 32.0% 16.9% 9.4% 6.6% 22.9% 7.1% 15.6% 14.6% 5.3% 4.3% 10.2% 20.0% 0.0% 14.3% 9.5% 19.0% 27.7% 31.7% 16.2% 18.2% 30.8% 13.4% 21.3% 21.8% 18.8% 28.3% 7.3% 16.5% 44.1% 37.3% 15.9% 34.9% 10.0% 9.5% 19.6% 41.7% 19.2% 21.9% 10.7% 34.7% 40.7% 32.4% 16.7% 19.1% 14.6% 7.6% 11.8% 28.7% 17.2% 4.5% 24.0% 23.6% 23.7% Psych 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.1% 0.0% 0.0% Social Wk Spec Inst Speech 0.6% 5.9% 65.3% 0.0% 20.7% 37.9% 0.0% 2.7% 58.7% 0.0% 3.0% 69.3% 1.0% 5.2% 61.9% 0.0% 4.7% 63.1% 0.0% 4.2% 57.9% 0.0% 8.0% 52.0% 0.0% 3.2% 79.2% 1.9% 1.9% 84.9% 1.6% 14.8% 75.4% 0.0% 22.9% 52.1% 0.0% 5.1% 85.1% 0.2% 2.1% 79.6% 0.0% 0.0% 85.4% 0.0% 17.5% 71.9% 0.0% 13.0% 73.9% 0.0% 16.3% 67.3% 0.0% 2.0% 78.0% 0.0% 50.0% 50.0% 0.0% 14.3% 61.9% 0.0% 4.8% 82.1% 0.0% 14.3% 57.1% 0.0% 14.9% 48.9% 0.0% 14.6% 51.2% 0.0% 2.1% 79.2% 0.0% 6.1% 69.7% 0.1% 3.2% 64.0% 0.0% 1.1% 84.2% 0.0% 5.1% 68.0% 0.0% 6.3% 68.3% 0.0% 4.3% 75.4% 0.4% 6.9% 61.1% 0.0% 9.8% 70.7% 0.0% 35.4% 46.5% 0.0% 14.7% 38.2% 0.0% 17.9% 44.8% 0.7% 3.4% 79.3% 0.0% 5.6% 55.7% 0.0% 46.0% 44.0% 0.5% 3.0% 85.6% 1.1% 7.6% 69.6% 0.0% 4.2% 50.0% 0.0% 0.0% 76.9% 0.0% 12.5% 62.5% 0.0% 20.0% 62.7% 0.0% 4.0% 57.0% 2.5% 0.0% 55.6% 0.0% 6.8% 58.1% 1.0% 1.0% 78.4% 3.8% 4.9% 69.9% 0.0% 1.5% 83.8% 0.0% 1.3% 89.9% 0.0% 4.9% 81.9% 0.0% 9.4% 59.1% 0.0% 0.0% 82.8% 0.0% 9.1% 81.8% 0.4% 23.8% 44.8% 0.2% 5.6% 67.6% 0.2% 9.6% 62.7% Vision 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 2.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 1.8% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 0.1% 0.0% 0.0% 0.4% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.4% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.1% 0.1% 0.1% Data Source: KIDS data complete as of 3/31/2008 (1) These data exclude evaluations, service coordination, respite, transportation, and AT devices. The sum of "Single Service Children" in this table and "Multiple Service Children" in Table 3 will be less than the "All Enrolled" in Table 1 because some children with IFSPs may only be authorized for excluded services like service coordination or evaluations. (2) Sum of percents may not equal 100% due to rounding. (3) Fam Cnsl/Sup. - Family Counseling, Family Support Group and Family Training were combined into one category for this report. Table 3 - Number and Percent of Children Within Municipalities Authorized to Receive Multiple Early Intervention Services By Type of Service. January 1, 2007 - December 31, 2007 Service Type (1, 2) Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Mult. Service AT Children Service 266 1.1% 34 0.0% 295 0.0% 93 1.1% 78 0.0% 133 0.0% 103 0.0% 61 0.0% 0.0% 200 83 2.4% 65 0.0% 68 0.0% 572 0.2% 1,195 3.3% 35 0.0% 45 0.0% 49 0.0% 147 21.1% 93 0.0% 1 0.0% 51 0.0% 98 0.0% 45 0.0% 104 2.9% 61 0.0% 1,054 0.4% 51 0.0% 2,626 1.4% 337 7.1% 294 0.0% 804 0.1% 108 0.0% 859 0.9% 64 1.6% 227 0.0% 56 0.0% 97 32.0% 328 0.6% 1,580 0.2% 100 0.0% 289 0.0% 182 0.0% 42 0.0% 10 0.0% 37 0.0% 154 3.2% 2,088 2.4% 140 5.7% 77 0.0% 200 0.0% 294 0.3% 93 0.0% 81 0.0% 142 0.7% 2,206 10.2% 48 10.4% 26 3.8% 28,155 0.4% 18,669 2.6% 46,824 1.3% Audiology 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.5% 0.0% 1.6% 2.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 3.3% 2.2% 0.0% 0.0% 1.2% 0.3% 2.4% 0.0% 12.3% 0.0% 2.2% 0.0% 0.0% 1.5% 0.8% 4.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.0% 1.7% 1.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.2% 0.5% Fam Cnsl/ Sup (3) Nursing 8.6% 0.4% 23.5% 0.0% 20.3% 0.0% 7.5% 0.0% 0.0% 0.0% 0.8% 0.0% 1.9% 0.0% 3.3% 0.0% 6.0% 0.0% 12.0% 0.0% 3.1% 4.6% 2.9% 0.0% 33.2% 0.0% 14.5% 0.0% 5.7% 2.9% 0.0% 0.0% 8.2% 0.0% 14.3% 0.0% 1.1% 0.0% 0.0% 0.0% 0.0% 0.0% 7.1% 0.0% 2.2% 0.0% 0.0% 0.0% 0.0% 0.0% 10.4% 0.0% 0.0% 0.0% 30.1% 0.0% 41.5% 0.0% 4.4% 0.3% 20.9% 0.4% 4.6% 0.0% 28.4% 0.0% 21.9% 0.0% 4.4% 0.0% 7.1% 0.0% 7.2% 0.0% 5.2% 0.0% 21.0% 0.2% 0.0% 0.0% 10.4% 0.0% 7.7% 8.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 20.8% 0.0% 44.3% 0.2% 2.1% 0.7% 28.6% 0.0% 20.5% 0.0% 13.9% 0.0% 1.1% 1.1% 0.0% 0.0% 5.6% 0.7% 22.7% 0.0% 45.8% 0.0% 0.0% 3.8% 80.0% 0.0% 21.5% 0.2% 56.7% 0.1% Nutrition 6.8% 0.0% 4.4% 0.0% 0.0% 0.0% 0.0% 0.0% 1.0% 7.2% 3.1% 7.4% 22.2% 0.5% 5.7% 0.0% 0.0% 13.6% 11.8% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 11.7% 0.0% 7.2% 0.0% 0.0% 1.1% 5.6% 0.7% 6.3% 0.0% 0.0% 4.1% 0.0% 3.3% 4.0% 14.9% 4.9% 0.0% 0.0% 0.0% 0.0% 4.0% 0.0% 0.0% 0.0% 11.6% 1.1% 1.2% 4.2% 0.5% 6.3% 0.0% 1.7% 4.3% 2.8% OT 53.8% 41.2% 63.1% 35.5% 34.6% 60.9% 57.3% 70.5% 52.0% 47.0% 49.2% 47.1% 49.5% 57.3% 31.4% 46.7% 51.0% 57.8% 64.5% 0.0% 70.6% 67.3% 60.0% 42.3% 41.0% 52.7% 66.7% 45.9% 43.6% 50.3% 55.2% 44.4% 48.9% 34.4% 45.4% 16.1% 53.6% 34.8% 46.3% 32.0% 38.8% 45.6% 45.2% 80.0% 40.5% 63.6% 31.4% 43.6% 80.5% 53.5% 53.4% 49.5% 65.4% 46.5% 58.2% 41.7% 46.2% 46.8% 48.7% 47.6% PT 45.5% 58.8% 64.4% 52.7% 55.1% 51.1% 68.9% 63.9% 38.0% 53.0% 40.0% 44.1% 36.0% 53.6% 51.4% 40.0% 53.1% 49.7% 44.1% 0.0% 62.7% 60.2% 62.2% 39.4% 47.5% 45.2% 49.0% 42.5% 38.0% 42.5% 45.6% 52.8% 41.6% 29.7% 43.6% 53.6% 53.6% 43.6% 47.3% 52.0% 42.9% 46.7% 57.1% 30.0% 64.9% 51.3% 39.8% 60.0% 58.4% 50.5% 46.9% 62.4% 53.1% 45.8% 52.9% 45.8% 53.8% 46.9% 46.5% 46.8% Psych 1.5% 0.0% 0.0% 0.0% 0.0% 0.8% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.9% 0.0% 4.4% 0.0% 4.1% 1.1% 0.0% 0.0% 1.0% 0.0% 1.0% 0.0% 6.4% 0.0% 1.3% 3.9% 0.0% 0.0% 1.9% 0.0% 0.0% 1.8% 0.0% 0.0% 0.6% 0.7% 0.0% 1.0% 0.5% 0.0% 0.0% 0.0% 0.0% 0.8% 3.6% 3.9% 8.5% 0.0% 0.0% 0.0% 4.9% 0.7% 0.0% 7.7% 0.2% 1.2% 0.6% Social Wk 16.9% 0.0% 15.3% 0.0% 6.4% 15.8% 0.0% 0.0% 0.0% 13.3% 6.2% 11.8% 8.2% 4.0% 0.0% 0.0% 2.0% 2.7% 23.7% 0.0% 0.0% 0.0% 0.0% 13.5% 8.2% 31.4% 0.0% 7.7% 0.9% 4.1% 11.2% 8.3% 18.3% 0.0% 0.0% 3.6% 21.6% 38.7% 1.7% 4.0% 24.6% 8.2% 38.1% 0.0% 2.7% 0.6% 7.6% 19.3% 3.9% 29.5% 27.9% 0.0% 13.6% 3.5% 1.3% 14.6% 0.0% 9.8% 9.4% 9.6% Spec Inst Speech 78.6% 91.0% 70.6% 55.9% 40.0% 84.7% 52.7% 90.3% 67.9% 78.2% 38.3% 82.0% 36.9% 80.6% 45.9% 85.2% 73.5% 95.0% 50.6% 96.4% 73.8% 86.2% 73.5% 80.9% 58.2% 90.6% 60.3% 77.5% 65.7% 91.4% 77.8% 88.9% 79.6% 85.7% 79.6% 79.6% 74.2% 91.4% 100.0% 100.0% 58.8% 88.2% 45.9% 82.7% 77.8% 80.0% 83.7% 82.7% 95.1% 78.7% 62.8% 87.9% 84.3% 74.5% 74.6% 89.8% 60.5% 88.1% 68.7% 90.5% 74.3% 83.1% 78.7% 77.8% 66.7% 87.4% 76.6% 85.9% 91.2% 78.9% 82.1% 76.8% 77.3% 70.1% 75.3% 92.1% 80.3% 84.7% 92.0% 76.0% 77.9% 90.3% 76.9% 87.4% 50.0% 85.7% 30.0% 80.0% 83.8% 78.4% 68.2% 83.1% 78.8% 83.4% 57.9% 88.6% 24.7% 92.2% 58.0% 88.5% 67.0% 88.1% 51.6% 92.5% 49.4% 85.2% 73.2% 85.9% 65.3% 83.2% 64.6% 85.4% 65.4% 69.2% 57.3% 72.9% 69.7% 85.5% 62.2% 77.9% Vision 3.4% 11.8% 2.0% 0.0% 6.4% 9.8% 0.0% 6.6% 0.5% 3.6% 4.6% 1.5% 0.3% 4.8% 0.0% 2.2% 10.2% 4.8% 0.0% 0.0% 2.0% 0.0% 0.0% 1.9% 4.9% 4.4% 3.9% 0.9% 2.1% 3.1% 3.0% 3.7% 1.9% 0.0% 0.0% 10.7% 1.0% 5.2% 2.2% 4.0% 3.8% 3.8% 7.1% 0.0% 0.0% 1.3% 3.0% 4.3% 5.2% 0.0% 5.1% 1.1% 7.4% 2.8% 1.0% 2.1% 3.8% 1.2% 2.5% 1.7% Data Source: KIDS data complete as of 3/31/2008 (1) These data exclude evaluations, service coordination, respite, transportation, and AT devices. The sum of "Single Service Children" in Table 2 and "Multiple Service Children" in this table will be less than the "All Enrolled" in Table 1 because some children with IFSPs may only be authorized for excluded services like service coordination or evaluations in this time period. (2) Sum of percents may not equal 100% due to rounding. (3) Fam Cnsl/Sup. - Family Counseling, Family Support Group and Family Training services were combined into one category for this report. Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Physical Therapy Assistants Physical Therapists Pediatricians, Other Physicians and Physician Assistants Orientation and Mobility Specialists Occupational Therapists Licensed Practical Nurses, Registered Nurses and Nurse Practitioners Certified Occupational Therapy Assistants Certified Low Vision Specialists Audiologists Municipality Table 4 - Number of NYS Approved Agency and Individual Providers Under Contract with Municipalities to Provide EI Services by Service Specialty (1,2) Expressed as FTEs by Type of Discipline (3) As of December 31, 2007 Agency Ind. Agency Ind. Agency Ind. Agency Ind. Agency Ind. Agency Ind. Agency Ind. Agency Ind. Agency Ind. 2.6 0.0 0.0 0.0 13.6 0.0 6.0 0.0 31.7 8.7 0.2 0.0 4.4 0.0 36.9 4.3 0.3 0.0 2.2 0.0 0.0 0.0 6.0 0.0 3.4 0.0 10.9 1.3 0.0 0.0 2.1 0.0 11.7 2.0 1.5 0.0 0.6 0.5 0.0 0.0 5.5 0.0 9.1 0.0 7.6 2.8 2.0 0.0 2.4 0.0 11.4 2.0 3.2 0.0 4.1 0.5 0.0 0.0 10.3 0.0 1.6 0.0 15.4 1.5 0.0 0.0 1.3 0.0 22.7 2.5 3.5 0.0 7.3 0.0 0.0 0.0 11.3 0.0 2.4 0.0 34.3 2.0 0.6 0.0 2.4 0.0 28.6 2.8 7.6 0.0 2.0 0.0 0.0 0.0 1.0 0.0 5.8 0.0 11.2 2.0 0.0 0.0 1.6 0.0 12.0 5.9 0.0 0.0 1.9 0.0 0.0 0.0 0.2 0.0 2.2 0.0 18.7 1.0 0.0 0.0 2.6 0.0 14.9 2.2 1.0 0.0 0.5 0.0 0.0 0.0 1.7 0.1 0.8 0.0 4.2 3.9 0.0 0.0 0.3 0.0 10.4 2.9 2.2 0.0 1.3 0.0 0.0 0.0 1.0 0.0 4.0 0.0 3.0 0.0 0.0 0.0 2.3 0.0 4.0 0.0 0.0 0.0 0.6 0.0 0.0 0.0 12.5 0.0 5.9 0.0 24.7 3.6 0.2 0.3 4.0 0.0 28.0 1.1 0.3 0.0 2.2 0.0 0.0 0.0 1.2 0.0 5.7 0.0 19.3 0.0 2.5 0.0 2.4 0.0 16.6 0.3 2.3 0.0 3.4 0.0 0.0 0.0 6.0 0.0 12.6 0.0 13.8 4.1 2.0 0.0 10.5 0.0 23.3 1.3 8.2 0.0 3.5 0.0 0.3 0.0 3.4 0.0 15.4 0.0 120.5 0.5 0.0 0.0 12.1 0.0 164.8 0.0 1.3 0.0 7.5 0.0 0.3 0.0 8.3 0.0 14.5 0.0 60.9 0.0 0.3 0.0 6.7 0.0 64.2 0.0 4.3 0.0 0.5 0.0 0.0 0.0 1.1 0.0 4.3 0.0 3.8 0.7 0.1 0.0 2.4 0.0 4.8 0.0 0.0 0.0 0.3 0.0 0.0 0.0 1.1 0.0 17.4 0.0 7.9 0.0 0.0 0.0 4.3 0.0 5.0 0.0 1.5 0.0 0.1 0.0 0.2 0.0 1.1 0.0 17.1 0.0 9.2 0.8 2.7 0.0 2.9 0.0 8.7 0.5 0.6 0.0 3.0 0.1 0.0 0.0 3.9 0.0 3.9 0.0 18.4 0.0 0.3 0.0 0.4 0.0 28.5 0.0 1.7 0.0 2.3 0.0 0.0 0.0 12.0 0.0 9.1 0.0 25.4 2.7 0.2 0.0 3.1 0.0 27.6 2.3 1.3 0.0 0.2 0.0 0.0 0.0 0.4 0.0 1.7 0.0 4.1 0.0 0.3 0.0 1.0 0.0 3.7 0.0 0.3 0.0 2.1 0.0 0.2 0.0 9.0 0.0 15.4 0.0 21.5 2.4 2.5 0.0 2.9 1.0 19.1 1.5 3.0 0.0 0.2 0.0 6.8 0.0 1.0 0.0 15.4 1.0 2.5 0.0 1.5 0.0 27.4 0.0 1.5 0.0 1.0 0.0 2.1 0.0 0.2 0.0 8.0 0.0 2.2 0.0 13.8 1.4 2.6 0.0 1.0 0.0 15.6 1.0 4.5 0.0 1.2 0.0 0.0 0.0 0.0 0.0 1.0 0.0 28.3 1.0 0.0 0.0 2.5 0.0 18.6 0.3 0.0 0.0 5.2 0.0 0.2 0.0 9.2 0.0 2.3 0.0 39.1 0.0 2.5 0.0 1.5 0.0 32.6 0.0 3.5 0.0 4.2 0.0 0.0 0.0 0.8 0.0 0.5 0.0 31.6 4.4 2.0 0.1 3.1 0.0 26.9 2.2 0.7 0.0 0.1 0.0 0.2 0.0 1.3 0.0 9.2 0.0 11.8 1.7 2.7 0.0 2.9 0.0 9.2 1.8 0.4 0.0 31.6 0.0 1.9 0.5 40.0 0.0 10.9 0.0 482.3 3.0 1.8 0.0 25.7 0.0 478.3 5.0 16.0 0.0 0.0 0.0 53.1 0.0 10.6 0.0 72.8 1.3 0.3 0.0 2.2 0.0 61.9 2.3 4.0 0.0 8.0 0.0 2.0 0.0 0.2 0.0 10.0 0.0 5.9 0.0 19.8 0.0 2.5 0.0 0.7 0.0 21.6 0.0 6.0 0.0 8.6 0.0 0.0 0.0 3.1 0.0 3.0 0.0 36.8 3.2 0.6 0.0 6.3 1.0 34.7 2.4 1.1 0.0 3.3 0.0 0.0 0.0 0.6 0.0 1.1 0.0 17.5 1.0 0.0 0.0 2.6 0.0 8.3 0.4 0.1 0.0 5.6 0.0 1.3 0.0 12.6 0.0 12.4 0.0 107.7 4.7 1.0 0.2 6.6 0.0 118.6 1.9 0.4 0.0 0.1 0.0 0.3 0.0 4.9 0.0 0.2 0.0 11.7 0.0 0.3 0.0 0.1 0.0 4.3 0.0 1.7 0.0 6.7 0.0 0.0 0.0 17.8 0.0 0.5 0.0 44.3 0.0 0.5 0.0 3.7 1.0 52.2 0.0 7.5 0.0 13.2 0.0 13.6 0.0 24.2 0.7 2.2 0.0 11.0 0.0 26.8 1.4 8.8 0.0 3.6 0.0 0.0 0.0 4.5 0.0 0.2 0.0 9.0 0.0 9.8 0.0 159.3 0.0 0.0 0.0 12.0 0.0 204.9 0.0 0.0 0.0 0.6 0.0 0.0 0.0 13.3 0.0 5.8 0.0 30.2 5.4 0.2 0.0 4.8 0.0 41.6 4.3 2.9 0.0 7.8 0.0 1.3 0.0 13.0 0.0 18.1 0.0 213.8 5.1 3.0 0.0 9.8 0.0 257.1 3.3 0.0 0.0 2.6 0.0 0.0 0.0 8.1 0.0 1.4 0.0 14.5 0.0 0.1 0.0 1.4 0.0 28.5 0.0 1.0 0.0 6.2 0.0 0.0 0.0 19.8 0.0 64.2 0.0 53.1 10.8 0.3 0.0 14.5 0.0 73.4 7.8 15.3 0.0 4.6 0.0 0.0 0.1 11.1 0.0 65.9 0.0 42.2 3.5 0.2 0.0 13.0 0.0 52.9 1.2 14.5 0.0 9.8 0.0 14.7 0.0 20.4 1.6 0.2 0.0 2.7 0.0 20.3 1.0 0.3 0.0 0.6 0.0 0.0 0.0 1.9 0.0 0.0 0.0 0.2 0.0 2.8 0.0 10.6 1.0 0.0 0.0 2.4 0.0 11.1 0.0 1.0 0.0 0.2 0.0 0.0 0.0 0.3 0.0 1.5 1.0 3.9 0.3 0.0 0.0 1.3 0.0 4.6 0.1 0.1 0.0 2.2 0.0 0.0 0.0 0.0 0.0 4.7 0.0 11.5 2.4 2.0 0.0 2.5 0.0 10.3 3.1 1.0 0.0 28.5 0.0 1.5 2.6 30.4 0.0 262.9 0.0 397.0 3.7 2.0 0.0 82.9 0.0 397.9 8.9 9.2 0.0 3.1 0.0 0.0 0.0 2.9 0.0 13.4 0.0 41.9 3.4 0.0 0.0 6.1 0.0 43.8 1.5 2.0 0.0 0.7 0.0 0.0 0.0 2.7 0.0 7.8 0.0 13.3 1.2 2.0 0.0 0.8 0.0 17.3 1.2 2.4 0.0 3.2 0.0 7.3 1.4 0.6 0.0 0.2 0.0 6.3 0.7 0.5 0.0 2.2 0.0 0.0 0.0 3.2 0.0 1.1 0.0 0.3 0.0 9.1 0.0 1.9 0.0 24.4 5.0 0.0 0.3 3.3 0.0 26.7 1.6 3.1 0.0 1.2 0.0 0.0 0.0 2.6 0.0 6.9 0.0 9.4 0.0 0.3 0.0 3.3 0.0 10.5 0.0 0.9 0.0 1.1 0.0 0.0 0.0 11.3 0.0 4.7 0.0 19.1 3.0 0.1 0.0 2.8 0.0 24.0 2.6 0.8 0.0 2.8 0.0 0.0 0.0 0.6 0.0 2.1 0.0 16.8 1.9 0.1 0.0 2.1 0.0 18.7 1.5 0.1 0.0 14.5 0.5 0.2 0.0 19.7 0.0 27.5 0.0 309.8 4.1 5.2 0.0 26.2 0.0 342.8 7.4 1.0 0.0 3.4 0.0 0.0 0.0 5.8 0.0 2.8 0.0 19.9 0.0 0.0 0.0 0.6 0.0 31.7 1.0 3.2 0.0 8.6 0.0 16.6 2.5 0.0 0.0 2.8 0.0 11.1 1.2 0.5 0.0 2.2 0.0 0.0 0.0 0.5 0.0 40.9 0.0 2.5 0.0 61.1 0.0 56.8 0.0 794.7 0.0 5.7 0.0 50.0 0.0 827.1 0.0 16.1 0.0 109.8 1.6 3.6 3.2 193.3 0.1 503.8 1.0 1,137.9 94.8 17.5 0.5 179.6 1.0 1,210.8 82.4 82.1 0.0 139.1 1.6 5.9 3.2 236.1 0.1 542.7 1.0 1,509.8 94.8 17.5 0.5 210.8 1.0 1,580.4 82.4 97.5 0.0 Data Source: NYS EI Provider Approval database as of June 23, 2008 (1) Providers with contracts in more than one county are counted more than once. (2) Providers with qualified personnel in more than one area of licensure, certification or registration are counted more than once. (3) Full time equivalents and types of qualified personnel were take from provider applications for state approval. Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Agency Ind. Agency Ind. Agency Ind. 13.1 0.0 0.1 0.0 4.9 3.1 5.2 0.2 1.0 0.0 4.2 0.0 3.0 0.0 3.6 0.5 6.7 0.0 5.5 0.0 6.0 0.0 1.0 0.0 7.6 0.0 0.7 0.0 9.3 0.4 2.7 0.0 0.1 0.0 3.0 0.3 4.1 0.0 0.0 0.0 6.2 0.0 2.4 0.0 0.0 0.0 5.6 0.0 0.0 0.0 0.0 0.0 0.2 0.0 7.0 0.0 2.1 0.0 4.9 1.3 6.8 0.0 1.1 0.5 5.8 0.4 7.0 0.0 3.3 0.1 9.9 1.1 10.5 0.0 6.0 0.0 32.2 0.0 13.6 0.0 1.8 0.0 14.5 0.0 0.4 0.0 0.0 0.0 0.2 0.3 1.1 0.0 1.1 0.1 0.2 0.0 2.6 0.0 0.5 0.0 6.3 0.0 2.1 0.0 1.5 0.5 3.8 0.3 6.6 0.5 0.5 0.8 7.4 1.5 1.4 0.0 0.1 0.0 1.6 0.0 6.8 0.0 1.0 0.0 9.5 0.0 2.1 0.0 0.0 0.0 1.1 0.0 4.5 0.0 1.0 0.0 9.4 0.0 9.5 0.0 2.0 0.0 7.4 0.5 9.1 0.0 1.0 0.0 15.1 0.0 10.2 0.2 2.0 0.5 13.4 2.1 2.9 0.0 0.4 0.0 5.9 0.0 82.6 0.0 15.6 0.0 234.9 0.0 13.4 0.0 0.8 0.0 13.0 0.0 3.0 0.0 1.0 0.0 8.6 0.0 9.3 0.0 1.1 0.0 8.0 3.8 3.9 0.0 1.6 0.0 2.9 0.0 10.8 0.0 2.4 0.5 53.0 1.8 0.5 0.0 0.0 0.5 1.8 0.0 6.8 0.0 0.0 0.0 6.8 0.0 9.8 0.5 4.3 0.0 17.2 0.8 15.8 0.0 4.1 0.0 43.0 0.0 12.0 0.0 0.1 0.0 4.1 2.1 16.5 0.4 8.1 0.0 62.0 0.0 1.9 0.0 0.2 0.0 0.8 0.0 19.4 0.0 1.4 1.0 16.1 1.8 18.5 0.0 2.7 0.0 17.9 0.5 4.3 0.0 0.1 0.0 5.8 1.0 3.4 0.0 0.0 0.0 6.2 0.5 2.4 0.0 0.6 0.0 3.7 0.0 4.2 0.0 0.0 0.0 5.2 0.5 113.9 0.0 33.5 1.0 288.8 1.5 10.2 0.0 3.0 0.0 13.5 0.0 4.0 0.0 0.1 0.0 8.6 0.2 2.7 0.0 0.1 0.0 5.0 0.9 5.5 0.0 2.2 0.0 19.0 1.5 7.2 0.0 0.8 0.0 4.7 0.0 5.2 0.0 0.5 0.0 1.3 1.0 5.1 0.0 3.2 0.0 4.5 0.0 47.9 1.5 9.5 0.0 200.8 0.8 1.4 0.0 0.5 0.5 2.3 0.3 3.6 0.0 1.2 0.0 3.3 0.0 97.1 0.0 20.5 0.0 382.9 0.0 256.6 3.3 82.1 5.0 581.3 22.8 311.3 3.3 95.3 5.0 755.5 22.8 Agency 37.9 8.3 14.2 19.9 49.3 12.7 9.1 9.9 8.1 30.4 41.5 21.1 117.7 71.3 15.5 9.0 17.1 10.0 34.7 12.0 19.2 3.3 15.2 41.7 53.2 64.3 18.6 1,075.7 73.8 18.7 65.8 24.2 307.9 8.2 39.1 33.3 310.0 38.5 372.4 7.2 43.1 30.9 18.1 8.7 13.1 7.1 930.5 36.2 19.6 14.5 44.2 24.7 22.5 29.1 579.5 12.4 17.2 1,270.8 1,892.3 2,425.9 Ind. 6.4 3.3 1.3 2.8 4.1 2.8 1.8 1.4 0.0 4.6 0.0 1.9 0.0 0.0 0.0 0.0 2.0 1.0 3.8 0.0 1.9 0.0 1.0 2.0 0.0 4.3 4.5 1.8 2.1 0.0 1.8 0.0 4.2 0.0 0.5 1.5 0.0 1.4 4.7 0.0 11.2 3.1 1.3 1.0 1.3 5.5 6.7 4.0 2.0 2.1 2.3 0.0 1.7 0.9 3.3 0.0 0.3 0.0 95.6 95.6 Teachers of the Speech and Hearing Handicapped Teachers of the Deaf and Hearing Handicapped Teachers of the Blind and Partially Sighted Speech and Language Pathologists and Audiologists Special Education Teachers Social Workers Registered Dieticians Psychologists Municipality Table 4 - Number of NYS Approved Agency and Individual Providers Under Contract with Municipalities to Provide EI Services by Service Specialty (1,2) Expressed as FTEs by Type of Discipline (3) As of December 31, 2007 Agency Ind. Agency Ind. Agency Ind. Agency Ind. 51.8 18.4 1.0 1.4 5.2 0.0 19.2 2.2 15.1 2.6 0.0 0.4 0.5 0.0 1.0 0.3 13.7 13.9 0.3 0.0 0.0 0.0 1.8 4.0 38.8 6.8 0.0 0.0 0.5 0.0 3.6 1.0 76.8 5.1 0.4 0.0 4.0 0.0 10.9 0.8 14.0 6.3 0.0 0.8 0.5 0.0 1.0 0.5 24.8 7.1 0.0 0.0 0.0 0.0 1.0 1.9 0.0 1.6 9.3 5.0 0.0 0.0 0.0 0.0 13.2 0.0 0.0 0.0 0.0 0.0 1.0 0.0 70.0 3.3 2.5 0.5 0.3 0.0 15.3 0.5 60.3 1.4 0.3 0.0 4.0 0.0 1.0 0.0 17.5 3.6 0.5 0.0 0.5 0.1 3.6 1.3 102.5 0.0 0.8 0.0 0.4 0.0 13.0 0.0 138.7 0.0 1.5 0.0 1.1 0.0 15.5 0.0 10.8 3.0 0.0 0.0 0.0 0.0 2.6 0.0 1.0 0.0 8.3 0.0 7.2 0.0 1.0 0.0 10.5 3.3 2.8 0.0 0.0 0.0 0.6 0.5 37.1 0.0 1.2 0.0 0.9 0.0 5.5 0.0 66.3 6.4 1.5 0.4 0.3 0.0 16.7 0.9 4.9 0.3 0.3 0.0 0.0 0.0 0.3 0.3 32.4 2.5 2.1 0.0 2.0 0.0 23.0 0.5 22.1 0.5 2.0 0.0 0.0 0.0 1.5 0.0 19.6 1.5 2.2 0.0 0.2 0.0 8.5 0.0 86.4 2.5 1.7 0.0 0.0 0.0 4.1 0.5 85.7 0.0 2.0 0.0 4.0 0.0 18.3 0.0 104.3 13.6 3.7 1.6 0.9 0.0 11.9 0.9 12.6 2.3 2.8 0.0 0.0 0.0 0.6 0.1 921.6 7.5 13.6 0.0 8.6 0.3 258.8 0.7 116.4 11.1 1.7 0.1 1.9 0.0 12.4 1.9 25.3 1.5 2.0 0.0 4.0 0.0 10.3 0.5 101.8 9.7 0.9 0.4 4.7 0.0 23.5 3.0 39.7 3.8 1.1 1.0 0.0 0.0 2.4 0.3 186.8 6.6 4.1 0.6 2.2 0.0 109.2 2.8 15.0 3.4 1.2 0.0 0.9 0.0 0.5 1.0 84.3 2.2 0.4 0.0 0.8 0.0 10.8 0.5 26.9 4.1 0.8 0.0 0.8 0.0 9.6 1.1 133.8 0.0 5.2 0.0 0.0 0.0 82.0 0.0 46.0 14.0 1.0 1.0 4.3 0.0 20.3 1.5 218.3 9.1 8.1 0.5 1.8 0.5 115.3 1.5 23.4 0.0 0.2 0.0 0.2 0.0 1.2 0.0 70.5 31.2 0.8 0.0 5.2 0.0 25.8 3.8 52.8 11.2 0.8 0.5 4.0 0.0 24.2 1.9 23.9 3.8 0.8 0.0 0.3 0.0 0.0 0.5 18.3 1.3 0.0 0.0 0.0 0.0 1.0 1.0 8.5 1.8 0.0 0.5 0.0 0.0 0.4 0.5 23.2 8.4 1.0 0.0 0.0 0.2 2.0 1.7 724.0 26.4 38.3 0.3 3.8 0.3 291.5 7.0 55.3 2.4 0.5 0.2 0.3 0.0 4.9 0.5 26.1 4.1 0.3 0.0 0.0 0.0 1.7 2.6 8.5 9.7 0.4 0.0 4.0 0.3 2.0 1.4 69.6 7.1 2.2 0.5 0.5 0.0 16.2 1.6 19.5 0.0 0.8 0.0 0.0 0.0 13.6 0.0 36.7 11.3 0.5 0.0 0.0 0.0 13.6 0.8 46.1 5.5 2.3 0.0 0.0 0.0 11.0 0.0 402.7 11.4 8.9 0.5 0.8 0.1 145.5 2.8 28.3 3.0 0.5 0.0 0.9 0.0 5.8 0.6 31.3 4.2 1.1 0.3 0.0 0.1 1.0 0.5 1,136.4 0.0 15.8 0.0 7.6 0.0 317.8 0.0 1,943.7 273.7 67.7 7.8 28.7 1.7 549.4 51.5 2,492.1 273.7 72.1 7.8 34.7 1.7 658.2 51.5 Data Source: NYS EI Provider Approval database as of June 23, 2008 (1) Providers with contracts in more than one county are counted more than once. (2) Providers with qualified personnel in more than one area of licensure, certification or registration are counted more than once. (3) Full time equivalents and types of qualified personnel were take from provider applications for state approval. Table 5 - Number and Percent of Children Within Municipalities Authorized to Receive A Single Service (1) By Type of Provider. January 1, 2007 – December 31, 2007 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Single Service Children 170 29 259 101 97 149 95 50 154 53 61 48 450 1,168 41 57 23 49 50 2 21 84 21 47 41 856 33 1,523 284 178 458 69 506 41 127 34 67 145 630 50 201 92 24 26 32 75 1,024 81 74 102 183 130 79 144 1,483 29 22 3,356 12,122 15,478 Agency Number 48 18 118 23 31 73 70 1 135 22 59 15 450 1,168 19 57 8 45 19 0 16 84 12 19 37 699 11 1,467 198 168 458 56 374 29 111 1 64 81 583 50 68 25 2 23 26 44 949 52 45 29 130 130 16 78 1,399 21 3 3,356 9,937 13,293 Individual Percent (2) 28.2% 62.1% 45.6% 22.8% 32.0% 49.0% 73.7% 2.0% 87.7% 41.5% 96.7% 31.3% 100.0% 100.0% 46.3% 100.0% 34.8% 91.8% 38.0% 0.0% 76.2% 100.0% 57.1% 40.4% 90.2% 81.7% 33.3% 96.3% 69.7% 94.4% 100.0% 81.2% 73.9% 70.7% 87.4% 2.9% 95.5% 55.9% 92.5% 100.0% 33.8% 27.2% 8.3% 88.5% 81.3% 58.7% 92.7% 64.2% 60.8% 28.4% 71.0% 100.0% 20.3% 54.2% 94.3% 72.4% 13.6% 100.0% 82.0% 85.9% Number 122 11 141 78 66 76 25 49 19 31 2 33 0 0 22 0 15 4 31 2 5 0 9 28 4 157 22 56 86 10 0 13 132 12 16 33 3 64 47 0 133 67 22 3 6 31 75 29 29 73 53 0 63 66 84 8 19 0 2185 2185 Percent (2) 71.8% 37.9% 54.4% 77.2% 68.0% 51.0% 26.3% 98.0% 12.3% 58.5% 3.3% 68.8% 0.0% 0.0% 53.7% 0.0% 65.2% 8.2% 62.0% 100.0% 23.8% 0.0% 42.9% 59.6% 9.8% 18.3% 66.7% 3.7% 30.3% 5.6% 0.0% 18.8% 26.1% 29.3% 12.6% 97.1% 4.5% 44.1% 7.5% 0.0% 66.2% 72.8% 91.7% 11.5% 18.8% 41.3% 7.3% 35.8% 39.2% 71.6% 29.0% 0.0% 79.7% 45.8% 5.7% 27.6% 86.4% 0.0% 18.0% 14.1% Data Source: KIDS data complete as of 3/31/2008, NYS EI Provider Approval database as of June 23, 2008 (1) Single Service Children - A child was counted as a 'single service child' if only one type of service was authorized in the reporting period. These data exclude evaluations, service coordination, respite, transportation, and AT devices. The sum of "Single Service Children" in this table and "Multiple Service Children" in Table 6 will be less than the "All Enrolled" in Table 1 because some children with IFSPs may only be authorized for excluded services like service coordination or evaluations in this time period. (2) Sum of percents may not equal 100% due to rounding. Table 6 - Number and Percent of Children Within Municipalities Authorized to Receive Multiple Services (1) By Type of Provider. January 1, 2007 – December 31, 2007 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Multi Service Children 266 34 295 93 78 133 103 61 200 83 65 68 572 1,195 35 45 49 147 93 1 51 98 45 104 61 1,054 51 2,626 337 294 804 108 859 64 227 56 97 328 1,580 100 289 182 42 10 37 154 2,088 140 77 200 294 93 81 142 2,206 48 26 28,155 18,669 46,824 Agency Only Number Percent (2) 41 15.4% 9 26.5% 61 20.7% 8 8.6% 4 5.1% 31 23.3% 42 40.8% 1 1.6% 169 84.5% 10 12.0% 48 73.8% 8 11.8% 572 100.0% 1,195 100.0% 11 31.4% 45 100.0% 7 14.3% 112 76.2% 4 4.3% 0 0.0% 10 19.6% 95 96.9% 6 13.3% 46 44.2% 47 77.0% 664 63.0% 6 11.8% 2,297 87.5% 213 63.2% 273 92.9% 804 100.0% 76 70.4% 372 43.3% 53 82.8% 212 93.4% 0 0.0% 74 76.3% 130 39.6% 1,348 85.3% 100 100.0% 18 6.2% 48 26.4% 1 2.4% 6 60.0% 32 86.5% 22 14.3% 1,674 80.2% 36 25.7% 39 50.6% 25 12.5% 139 47.3% 74 79.6% 7 8.6% 76 53.5% 1,842 83.5% 30 62.5% 11 42.3% 28,153 100.0% 13,284 71.2% 41,437 88.5% Individual Only Number Percent (2) 106 39.8% 10 29.4% 33 11.2% 48 51.6% 32 41.0% 16 12.0% 12 11.7% 48 78.7% 0 0.0% 28 33.7% 0 0.0% 8 11.8% 0 0.0% 0 0.0% 1 2.9% 0 0.0% 10 20.4% 0 0.0% 23 24.7% 1 100.0% 2 3.9% 0 0.0% 8 17.8% 10 9.6% 0 0.0% 35 3.3% 24 47.1% 0 0.0% 5 1.5% 0 0.0% 0 0.0% 3 2.8% 36 4.2% 0 0.0% 1 0.4% 34 60.7% 0 0.0% 41 12.5% 5 0.3% 0 0.0% 128 44.3% 35 19.2% 24 57.1% 0 0.0% 0 0.0% 21 13.6% 18 0.9% 23 16.4% 0 0.0% 38 19.0% 4 1.4% 0 0.0% 40 49.4% 13 9.2% 4 0.2% 0 0.0% 0 0.0% 0 0.0% 928 5.0% 928 2.0% Individual & Agency Number Percent (2) 119 44.7% 15 44.1% 201 68.1% 37 39.8% 42 53.8% 86 64.7% 49 47.6% 12 19.7% 31 15.5% 45 54.2% 17 26.2% 52 76.5% 0 0.0% 0 0.0% 23 65.7% 0 0.0% 32 65.3% 35 23.8% 66 71.0% 0 0.0% 39 76.5% 3 3.1% 31 68.9% 48 46.2% 14 23.0% 355 33.7% 21 41.2% 329 12.5% 119 35.3% 21 7.1% 0 0.0% 29 26.9% 451 52.5% 11 17.2% 14 6.2% 22 39.3% 23 23.7% 157 47.9% 227 14.4% 0 0.0% 143 49.5% 99 54.4% 17 40.5% 4 40.0% 5 13.5% 111 72.1% 396 19.0% 81 57.9% 38 49.4% 137 68.5% 151 51.4% 19 20.4% 34 42.0% 53 37.3% 360 16.3% 18 37.5% 15 57.7% 2 0.0% 4,457 23.9% 4,459 9.5% Data Source: KIDS data complete as of 3/31/2008, NYS EI Provider Approval database as of June 23, 2008 (1) Multiple Service Children - A child was counted as a 'multiple service child' if more than one type of service was authorized in the reporting period. These data exclude evaluations, service coordination, respite, transportation, and AT devices. The sum of "Single Service Children" in Table 5 and "Multiple Service Children" in this table will be less than the "All Enrolled" in Table 1 because some children with IFSPs may only be authorized for excluded services like service coordination or evaluations in this time period. (2) Sum of percents may not equal 100% due to rounding. Table 7 - Number and Percent of Evaluators Contracted with Municipalities to Provide Evaluations Who also Provided Services to Children Whom They Evaluated. January 1, 2007 - December 31, 2007 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Number of Evaluators (1) 82 21 49 30 40 30 25 21 7 42 12 38 7 23 14 9 8 13 47 3 20 8 18 9 13 61 28 100 16 11 23 16 11 3 18 29 9 65 71 9 113 56 23 11 9 44 146 34 35 23 60 6 38 32 41 14 18 90 1,195 1,266 Evaluators providing services to children whom they evaluated (2) Number Percent 34 41.5% 11 52.4% 18 36.7% 17 56.7% 25 62.5% 14 46.7% 16 64.0% 10 47.6% 4 57.1% 17 40.5% 8 66.7% 18 47.4% 5 71.4% 18 78.3% 8 57.1% 4 44.4% 7 87.5% 9 69.2% 18 38.3% 3 100.0% 12 60.0% 6 75.0% 11 61.1% 8 88.9% 12 92.3% 40 65.6% 13 46.4% 76 76.0% 13 81.3% 9 81.8% 13 56.5% 11 68.8% 9 81.8% 3 100.0% 10 55.6% 10 34.5% 6 66.7% 34 52.3% 40 56.3% 7 77.8% 53 46.9% 26 46.4% 12 52.2% 7 63.6% 6 66.7% 16 36.4% 74 50.7% 13 38.2% 17 48.6% 12 52.2% 31 51.7% 6 100.0% 19 50.0% 23 71.9% 32 78.0% 9 64.3% 9 50.0% 81 90.0% 554 46.4% 616 48.7% Data Source: KIDS data complete as of March 31, 2008, NYS Provider Approval database June 23, 2008 (1) Evaluators are providers approved by NYSDOH and under contract with that municipality to provide evaluation services. A provider may contract with more than one municipality. (2) Evaluators who provided general services between 1/1/07 and 12/31/07 to a child from any municipalty whom they had evaluated at any time. Table 8 - Number and Percent of Children Whose Families Were Authorized to Receive Supportive Services. January 1, 2007 – December 31, 2007 Municipality Total Children (1) Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Number 460 66 578 196 227 287 204 112 357 144 130 120 1,057 2,467 77 103 75 198 145 3 73 189 67 152 102 1,931 84 4,264 663 477 1,280 178 1,415 112 363 91 168 487 2,236 151 498 280 70 40 72 237 3,236 229 152 321 483 224 162 289 3,854 82 51 34,419 31,769 66,188 Received Supportive Service (2) Percent 36 21 74 9 7 1 3 2 15 13 5 16 228 195 2 0 4 26 8 0 0 15 5 0 8 275 0 825 156 24 210 31 263 17 27 13 12 34 336 17 47 24 10 0 5 42 954 11 25 46 55 2 5 36 526 22 1 22,599 4,744 27,343 Data Source: KIDS data complete as of March 31, 2008 (1) Total Children - Children were included if they were enrolled in EI at any time during the period, regardless of the length of time. (2) Supportive Services - Family Counseling, Family Support Group, Family Training, and Respite services. 7.8% 31.8% 12.8% 4.6% 3.1% 0.3% 1.5% 1.8% 4.2% 9.0% 3.8% 13.3% 21.6% 7.9% 2.6% 0.0% 5.3% 13.1% 5.5% 0.0% 0.0% 7.9% 7.5% 0.0% 7.8% 14.2% 0.0% 19.3% 23.5% 5.0% 16.4% 17.4% 18.6% 15.2% 7.4% 14.3% 7.1% 7.0% 15.0% 11.3% 9.4% 8.6% 14.3% 0.0% 6.9% 17.7% 29.5% 4.8% 16.4% 14.3% 11.4% 0.9% 3.1% 12.5% 13.6% 26.8% 2.0% 65.7% 14.9% 41.3% Table 9 - Number and Percent Of Children Within Municipalities with Sources of Third Party Reimbursement (Medicaid and Commercial Insurance). January 1, 2007 – December 31, 2007 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Enrolled in EI (1) 460 66 578 196 227 287 204 112 357 144 130 120 1,057 2,467 77 103 75 198 145 3 73 189 67 152 102 1,931 84 4,264 663 477 1,280 178 1,415 112 363 91 168 487 2,236 151 498 280 70 40 72 237 3,236 229 152 321 483 224 162 289 3,854 82 51 34,419 31,769 66,188 Medicaid Only (2,4) Number 150 27 262 91 119 149 117 72 170 64 63 57 183 869 36 57 44 73 61 1 48 65 29 54 48 647 39 643 211 225 459 53 300 59 194 42 11 196 72 93 98 130 27 15 34 122 549 65 56 124 75 72 59 75 993 23 29 19,927 8,699 28,626 Percent 32.6% 40.9% 45.3% 46.4% 52.4% 51.9% 57.4% 64.3% 47.6% 44.4% 48.5% 47.5% 17.3% 35.2% 46.8% 55.3% 58.7% 36.9% 42.1% 33.3% 65.8% 34.4% 43.3% 35.5% 47.1% 33.5% 46.4% 15.1% 31.8% 47.2% 35.9% 29.8% 21.2% 52.7% 53.4% 46.2% 6.5% 40.2% 3.2% 61.6% 19.7% 46.4% 38.6% 37.5% 47.2% 51.5% 17.0% 28.4% 36.8% 38.6% 15.5% 32.1% 36.4% 26.0% 25.8% 28.0% 56.9% 57.9% 27.4% 43.3% Commercial Insurance Only (3,4) Number Percent 261 56.7% 23 34.8% 245 42.4% 76 38.8% 92 40.5% 74 25.8% 61 29.9% 22 19.6% 154 43.1% 71 49.3% 53 40.8% 41 34.2% 758 71.7% 1,361 55.2% 29 37.7% 36 35.0% 20 26.7% 99 50.0% 67 46.2% 1 33.3% 21 28.8% 100 52.9% 28 41.8% 84 55.3% 47 46.1% 1127 58.4% 25 29.8% 3,449 80.9% 389 58.7% 201 42.1% 683 53.4% 95 53.4% 873 61.7% 39 34.8% 138 38.0% 29 31.9% 148 88.1% 257 52.8% 1,164 52.1% 43 28.5% 304 61.0% 118 42.1% 34 48.6% 11 27.5% 32 44.4% 90 38.0% 2,477 76.5% 94 41.0% 77 50.7% 174 54.2% 258 53.4% 119 53.1% 70 43.2% 161 55.7% 2,692 69.9% 47 57.3% 16 31.4% 8,677 25.2% 19,258 60.6% 27,935 42.2% Both (4) Number 18 12 42 19 15 56 23 8 27 8 12 12 82 232 5 7 5 18 11 0 3 18 6 11 6 117 16 146 42 21 82 17 161 13 4 20 8 14 954 9 51 24 9 1 5 19 131 64 17 18 116 23 19 32 136 10 1 1,178 2,956 4,134 Percent 3.9% 18.2% 7.3% 9.7% 6.6% 19.5% 11.3% 7.1% 7.6% 5.6% 9.2% 10.0% 7.8% 9.4% 6.5% 6.8% 6.7% 9.1% 7.6% 0.0% 4.1% 9.5% 9.0% 7.2% 5.9% 6.1% 19.0% 3.4% 6.3% 4.4% 6.4% 9.6% 11.4% 11.6% 1.1% 22.0% 4.8% 2.9% 42.7% 6.0% 10.2% 8.6% 12.9% 2.5% 6.9% 8.0% 4.0% 27.9% 11.2% 5.6% 24.0% 10.3% 11.7% 11.1% 3.5% 12.2% 2.0% 3.4% 9.3% 6.2% Unknown (4) Number 31 4 29 10 1 8 3 10 6 1 2 10 34 5 7 3 6 8 6 1 1 6 4 3 1 40 4 26 21 30 56 13 81 1 27 0 1 20 46 6 45 8 0 13 1 6 79 6 2 5 34 10 14 21 33 2 5 4,637 856 5,493 Percent 6.7% 6.1% 5.0% 5.1% 0.4% 2.8% 1.5% 8.9% 1.7% 0.7% 1.5% 8.3% 3.2% 0.2% 9.1% 2.9% 8.0% 4.0% 4.1% 33.3% 1.4% 3.2% 6.0% 2.0% 1.0% 2.1% 4.8% 0.6% 3.2% 6.3% 4.4% 7.3% 5.7% 0.9% 7.4% 0.0% 0.6% 4.1% 2.1% 4.0% 9.0% 2.9% 0.0% 32.5% 1.4% 2.5% 2.4% 2.6% 1.3% 1.6% 7.0% 4.5% 8.6% 7.3% 0.9% 2.4% 9.8% 13.5% 2.7% 8.3% Data Source: KIDS data complete as of March 31, 2008 (1) Enrolled in EI - Children were included if they were enrolled in EI at any time during the period, regardless of the length of time. (2) Medicaid - Children were counted as having Medicaid if the "Medicaid" field in KIDS was equal to 'Yes'. (3) Commercial Insurance - Children were counted as having insurance if there was an insurance record present for the child in KIDS. This includes both insurance companies that are regulated by NYS and those that are not. It is estimated that 27.9% of the children enrolled in EI are covered by an insurance company regulated by NYS. (4) Sum of percents may not equal 100% due to rounding. Table 10 - Number and Percent of Claims Submitted to Commercial Insurers And Percent of Claims Denied by Insurers. January 1, 2007 - December 31, 2007 Claims Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess (1) Erie (0) Essex Franklin Fulton Genesee (1) Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe (1) Montgomery Nassau Niagara (1) Oneida Onondaga Ontario Orange Orleans(1) Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk(1) Sullivan Tioga Tompkins Ulster Warren Washington Wayne (1) Westchester Wyoming Yates New York City (1) ROS STATE Submitted 16,718 1,405 13,614 5,008 4,371 8,643 6,707 2,041 10,139 5,133 4,474 2,777 11,710 64,627 1,135 1,557 1,597 4,235 4,897 60 3,329 6,119 1,722 5,893 3,892 42,227 2,601 269,205 17,317 11,631 42,942 9,894 77,087 1,399 6,776 1,555 8,221 16,127 167,536 2,142 22,316 8,309 2,405 494 2,658 5,288 134,533 7,559 4,687 11,261 21,603 12,925 6,288 7,370 233,493 3,497 745 390,273 1,353,894 1,744,167 Reconciled (2) 16,771 1,676 12,608 4,059 5,400 9,137 1,692 2,071 10,433 4,595 4,194 3,551 10,991 57,401 1,379 1,563 1,636 4,210 4,893 90 3,667 6,350 1,855 5,895 4,099 42,152 2,356 268,656 17,259 11,475 45,164 9,925 73,038 1,335 6,838 1,621 8,532 5,589 163,182 2,564 21,802 5,699 2,354 317 2,440 5,668 131,241 6,186 4,555 9,845 20,483 14,064 6,546 7,369 230,014 3,524 783 390,273 1,312,792 1,703,065 Denied 13,569 1,194 7,209 3,415 3,956 6,204 1,355 701 7,568 3,535 3,108 2,900 7,344 38,407 898 744 1,396 3,363 3,936 90 2,656 5,510 1,336 3,435 2,407 33,509 2,008 212,586 13,750 5,731 35,243 8,222 57,761 1,054 6,056 1,093 8,096 3,649 143,624 1,822 19,634 5,346 1,701 279 2,028 4,793 91,822 4,761 2,597 5,593 17,964 12,480 5,111 6,405 199,716 2,856 702 317,473 1,044,228 1,361,701 Percent Denied / Reconciled (3) 80.9% 71.2% 57.2% 84.1% 73.3% 67.9% 80.1% 33.8% 72.5% 76.9% 74.1% 81.7% 66.8% 66.9% 65.1% 47.6% 85.3% 79.9% 80.4% 100.0% 72.4% 86.8% 72.0% 58.3% 58.7% 79.5% 85.2% 79.1% 79.7% 49.9% 78.0% 82.8% 79.1% 79.0% 88.6% 67.4% 94.9% 65.3% 88.0% 71.1% 90.1% 93.8% 72.3% 88.0% 83.1% 84.6% 70.0% 77.0% 57.0% 56.8% 87.7% 88.7% 78.1% 86.9% 86.8% 81.0% 89.7% 81.3% 79.5% 80.0% Data Sources: KIDS data complete as of 12/07. Municipal Fiscal Agent Reports submitted 2/08. (0) These counties submitted Fiscal Agent Reports last year (1) Data from these counties were submitted by fiscal agents via a special report. NYS Department of Health is unable to verify the accuracy of those fiscal agent reports. All other data were collected and submitted by counties using KIDS. (2) Claims Reconciled - These are claims submitted to insurers that were subsequently denied, paid, or partially paid between January 1, 2007 and December 31, 2007. Reconcilation data from fiscal agents include only claims submitted in the reporting period. Reconcilation data from KIDS include claims reconciled during the period, regardless of when they were submitted. The number of claims submitted may not equal the number reconciled since some reconciled claims were submitted prior to January 1. (3) Percent Denied/Reconciled - Number of claims denied divided by claims reconciled in reporting period. Table 11 - Reasons for Commercial Insurers' Denial of Early Intervention Claims by Number and Percent of Denials. January 1, 2007 – December 31, 2007 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess (1) Erie (0) Essex Franklin Fulton Genesee (1) Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe (1) Montgomery Nassau Niagara (1) Oneida Onondaga Ontario Orange Orleans(1) Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk (1) Sullivan Tioga Tompkins Ulster Warren Washington Wayne (1) Westchester Wyoming Yates New York City (1) Rest of State New York State Claims Denied In Reporting Period (2) Reasons For Denial Service Not Covered 13,569 4,239 1,194 233 7,209 1,542 3,415 1,140 3,956 1,232 6,204 2,134 1,355 1,124 701 168 7,568 252 3,535 2,587 3,108 1,551 2,900 438 7,344 1,307 38,407 1,158 898 173 744 106 1,396 139 3,363 58 3,936 275 90 48 2,656 756 5,510 824 1,336 44 3,435 2,211 2,407 329 33,509 1,713 2,008 979 212,586 28,210 13,750 149 5,731 2,542 35,243 3,801 8,222 1,625 57,761 12,625 1,054 95 6,056 2,130 1,093 89 8,096 1,953 3,649 421 143,624 8,738 1,822 298 19,634 5,917 5,346 733 1,701 1,248 279 0 2,028 785 4,793 1,006 91,822 22,157 4,761 233 2,597 1,049 5,593 2,206 17,964 2,038 12,480 4,437 5,111 781 6,405 513 199,716 40,049 2,856 87 702 185 317,473 22,267 1,044,228 172,860 1,361,701 195,127 No Response From Insurer 33.3% 3 19.5% 56 21.4% 196 45.9% 0 32.5% 0 35.0% 26 85.2% 0 47.1% 0 6.3% 20 75.6% 0 51.4% 0 15.8% 1 17.8% 327 3.0% 37 25.9% 6 15.7% 0 10.0% 0 1.7% 6 0 7.0% 53.3% 0 28.5% 576 35.5% 287 12.9% 0 65.9% 0 27.0% 0 5.1% 61 50.7% 64 14.8% 285 1.1% 73 52.3% 0 16.7% 0 20.9% 0 22.7% 1,994 9.0% 0 74.4% 234 18.4% 58 28.1% 798 13.5% 0 6.2% 35 21.6% 88 36.8% 0 45.8% 24 76.1% 4 0.0% 0 40.0% 7 25.0% 80 24.1% 23,854 6.6% 1 44.6% 3 47.3% 123 11.5% 0 35.9% 281 15.4% 368 8.0% 0 29.7% 1,621 9.1% 0 29.5% 0 7.0% 221,884 19.1% 31,597 15.9% 253,481 0.0% 4.7% 2.7% 0.0% 0.0% 0.4% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 4.5% 0.1% 0.9% 0.0% 0.0% 0.2% 0.0% 0.0% 21.7% 12.4% 0.0% 0.0% 0.0% 0.2% 3.3% 0.1% 0.5% 0.0% 0.0% 0.0% 3.6% 0.0% 8.2% 12.0% 11.5% 0.0% 0.0% 6.4% 0.0% 1.5% 0.2% 0.0% 0.4% 2.0% 26.0% 0.0% 0.1% 2.6% 0.0% 2.3% 7.3% 0.0% 1.2% 0.0% 0.0% 69.9% 3.5% 20.7% Other Denial 1,133 586 1,455 2 122 172 151 105 360 117 70 197 951 2,294 214 128 95 92 10 0 173 137 105 128 224 602 35 9,834 157 193 2,214 183 12,068 44 129 46 374 341 7,823 73 273 258 84 0 55 211 16,578 1,463 352 1,240 1,131 456 31 146 6,515 205 84 7,503 72,219 79,722 8.9% 49.1% 20.2% 0.1% 3.2% 2.8% 11.4% 29.4% 8.9% 3.4% 2.3% 7.1% 12.9% 6.0% 32.0% 18.9% 6.8% 2.7% 0.3% 0.0% 6.5% 5.9% 30.8% 3.8% 18.4% 1.8% 1.8% 5.2% 1.1% 4.0% 9.7% 2.4% 21.7% 4.2% 4.5% 9.5% 5.4% 10.9% 5.6% 5.3% 1.7% 16.1% 5.1% 0.0% 2.8% 5.2% 18.1% 41.6% 15.0% 26.6% 6.4% 3.7% 0.6% 2.3% 4.8% 21.5% 13.4% 2.4% 8.0% 6.5% Not Medically Necessary Out-of-Network Provider 313 0 133 17 59 0 0 0 398 3 7 320 843 12 0 0 0 393 12 0 24 27 0 128 91 18,186 0 19,249 34 353 433 3,239 3,659 273 29 28 35 221 221 3 2,593 0 18 0 86 26 14 24 15 43 456 92 6 3,854 3,182 0 0 26,583 59,152 85,735 5,190 91 1,318 554 1,567 2,287 30 81 1,792 576 1,136 1,000 958 10,816 199 356 1,142 644 3,232 0 209 679 105 239 0 73 343 120,107 7,056 1,150 11,859 1,710 10,716 421 143 63 2,668 877 120,237 865 4,830 307 249 0 831 2,216 6,668 1,044 753 435 8,727 1,522 1,658 32 60,999 65 306 6,716 403,131 409,847 2.5% 0.0% 1.8% 0.7% 1.6% 0.0% 0.0% 0.0% 9.9% 0.1% 0.2% 11.5% 11.5% 0.0% 0.0% 0.0% 0.0% 11.7% 0.3% 0.0% 0.9% 1.2% 0.0% 3.8% 7.5% 54.3% 0.0% 10.1% 0.2% 7.3% 1.9% 41.6% 6.6% 25.9% 1.0% 5.8% 0.5% 7.1% 0.2% 0.2% 16.1% 0.0% 1.1% 0.0% 4.4% 0.6% 0.0% 0.7% 0.6% 0.9% 2.6% 0.7% 0.1% 60.2% 2.4% 0.0% 0.0% 8.4% 6.5% 7.0% 40.7% 7.6% 18.3% 22.3% 41.4% 37.5% 2.3% 22.7% 44.5% 16.8% 37.7% 36.0% 13.0% 28.4% 29.7% 52.6% 81.9% 19.1% 82.3% 0.0% 7.9% 29.2% 30.8% 7.1% 0.0% 0.2% 17.8% 63.2% 51.3% 23.6% 52.2% 22.0% 19.3% 39.9% 5.0% 13.0% 38.3% 28.1% 85.4% 62.8% 30.1% 19.2% 15.2% 0.0% 42.3% 55.1% 7.3% 29.7% 32.0% 9.3% 49.2% 12.3% 32.8% 0.5% 45.3% 6.8% 48.7% 2.1% 44.5% 33.5% No Preauthorization Obtained (3) 318 2 817 620 350 3 1 2 0 2 67 57 1,481 957 0 0 0 0 0 18 214 30 2 21 0 119 292 4,301 93 164 1,022 0 6,806 0 119 0 77 96 1,146 6 1,198 45 0 0 8 1 14,284 158 12 24 3,740 4,255 1,470 11 219 0 7 2,194 44,635 46,829 2.5% 0.2% 11.3% 25.0% 9.2% 0.0% 0.1% 0.6% 0.0% 0.1% 2.2% 2.1% 20.2% 2.5% 0.0% 0.0% 0.0% 0.0% 0.0% 20.0% 8.1% 1.3% 0.6% 0.6% 0.0% 0.4% 15.1% 2.3% 0.7% 3.4% 4.5% 0.0% 12.2% 0.0% 4.2% 0.0% 1.1% 3.1% 0.8% 0.4% 7.5% 2.8% 0.0% 0.0% 0.4% 0.0% 15.6% 4.5% 0.5% 0.5% 21.1% 34.4% 29.1% 0.2% 0.2% 0.0% 1.1% 0.7% 4.9% 3.8% Data Sources: KIDS data complete as of 3/31/08. Municipal Fiscal Agent Reports submitted 2/08. (0) These counties submitted Fiscal Agent Reports last year (1) Data from these counties were submitted by fiscal agents via a special report. NYS Department of Health is unable to verify the accuracy of those fiscal agent reports. All other data were collected and submitted by counties using KIDS. (2) 137,883 claims were excluded because the reason for denial was not recorded. (3) Data reported in this column include both denials by insurers when municipalities sought preauthorization, and denials when preauthorization was not sought. Table 11 - Reasons for Commercial Insurers' Denial of Early Intervention Claims by Number and Percent of Denials. January 1, 2007 – December 31, 2007 Reasons For Denial Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess (1) Erie (0) Essex Franklin Fulton Genesee (1) Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe (1) Montgomery Nassau Niagara (1) Oneida Onondaga Ontario Orange Orleans(1) Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk (1) Sullivan Tioga Tompkins Ulster Warren Washington Wayne (1) Westchester Wyoming Yates New York City (1) Rest of State New York State Exceeds Insurer's Benefits Exhausted Claiming Limit 1,215 186 173 112 0 1,103 13 0 415 31 98 108 378 20,830 0 64 19 135 87 0 0 7 18 481 45 8,166 117 2,055 1,433 306 582 704 1,892 134 0 0 0 411 740 0 396 167 28 0 44 0 2,455 51 16 55 21 373 449 1,148 8,302 526 0 1,234 56,089 57,323 9.5% 15.6% 2.4% 4.5% 0.0% 18.1% 1.0% 0.0% 10.3% 0.9% 3.2% 3.9% 5.1% 54.7% 0.0% 9.5% 1.4% 4.0% 2.2% 0.0% 0.0% 0.3% 5.3% 14.3% 3.7% 24.4% 6.1% 1.1% 10.4% 6.3% 2.6% 9.1% 3.4% 12.7% 0.0% 0.0% 0.0% 13.2% 0.5% 0.0% 2.5% 10.4% 1.7% 0.0% 2.2% 0.0% 2.7% 1.4% 0.7% 1.2% 0.1% 3.0% 8.9% 17.9% 6.2% 55.2% 0.0% 0.4% 6.2% 4.7% 0 3 384 2 126 287 1 0 531 21 12 195 153 1,117 53 0 0 1,998 0 0 41 96 45 39 422 3,648 0 1,398 4,255 56 1,768 261 2,564 72 48 74 416 413 1,549 4 29 10 0 150 69 110 1,550 228 8 192 391 450 74 478 7,181 42 0 6,089 33,014 39,103 0.0% 0.3% 5.3% 0.1% 3.3% 4.7% 0.1% 0.0% 13.2% 0.6% 0.4% 7.0% 2.1% 2.9% 7.9% 0.0% 0.0% 59.4% 0.0% 0.0% 1.5% 4.1% 13.2% 1.2% 34.7% 10.9% 0.0% 0.7% 30.9% 1.2% 7.8% 3.4% 4.6% 6.8% 1.7% 15.3% 6.0% 13.2% 1.1% 0.3% 0.2% 0.6% 0.0% 96.2% 3.5% 2.7% 1.7% 6.5% 0.3% 4.1% 2.2% 3.6% 1.5% 7.5% 5.3% 4.4% 0.0% 1.9% 3.6% 3.2% Child Not Covered 162 37 962 21 323 83 0 1 154 15 71 62 372 864 24 23 0 32 0 24 663 132 22 110 27 647 79 4,111 243 84 643 56 2,913 0 20 5 441 344 229 40 729 56 10 0 30 95 4,260 229 72 249 1,183 506 222 154 2,817 28 46 12,586 24,725 37,311 1.3% 3.1% 13.3% 0.8% 8.5% 1.4% 0.0% 0.3% 3.8% 0.4% 2.4% 2.2% 5.1% 2.3% 3.6% 3.4% 0.0% 1.0% 0.0% 26.7% 25.0% 5.7% 6.5% 3.3% 2.2% 1.9% 4.1% 2.2% 1.8% 1.7% 2.8% 0.7% 5.2% 0.0% 0.7% 1.0% 6.3% 11.0% 0.2% 2.9% 4.5% 3.5% 0.6% 0.0% 1.5% 2.4% 4.6% 6.5% 3.1% 5.3% 6.7% 4.1% 4.4% 2.4% 2.1% 2.9% 7.3% 4.0% 2.7% 3.0% No Primary Care Physician Referral 164 0 229 10 9 0 0 0 90 3 0 2 348 0 0 0 0 5 0 0 0 103 0 0 0 294 0 482 257 0 393 0 394 15 7 121 199 0 19 0 0 0 0 6 0 277 0 2 73 97 45 0 0 69 3,773 0 0 1,109 7,486 8,595 1.3% 0.0% 3.2% 0.4% 0.2% 0.0% 0.0% 0.0% 2.2% 0.1% 0.0% 0.1% 4.7% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 4.4% 0.0% 0.0% 0.0% 0.9% 0.0% 0.3% 1.9% 0.0% 1.7% 0.0% 0.7% 1.4% 0.2% 25.0% 2.9% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 3.8% 0.0% 6.9% 0.0% 0.1% 3.1% 2.1% 0.3% 0.0% 0.0% 1.1% 2.8% 0.0% 0.0% 0.3% 0.8% 0.7% Technical Error 0 0 0 4 1 0 0 0 13 0 5 1 226 0 0 0 0 0 0 0 0 0 0 0 0 0 22 35 0 16 0 0 0 0 4 0 0 0 0 1 0 0 0 0 49 0 0 0 0 0 0 0 0 0 0 0 0 9,067 377 9,444 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.3% 0.0% 0.2% 0.0% 3.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.1% 0.0% 0.0% 0.3% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 2.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 2.9% 0.0% 0.8% Government Service Blanket Rejection 0 0 0 0 0 0 0 0 0 66 0 395 0 0 0 0 0 0 312 0 0 0 0 0 79 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 2 88 0 0 0 1 0 0 0 0 0 241 1,060 1,301 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.9% 0.0% 14.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 7.9% 0.0% 0.0% 0.0% 0.0% 0.0% 6.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 2.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1% 0.1% 0.1% Data Sources: KIDS data complete as of 3/31/08. Municipal Fiscal Agent Reports submitted 2/08. (0) These counties submitted Fiscal Agent Reports last year (1) Data from these counties were submitted via a special report created to capture data from fiscal agents. All other data were collected and submitted by counties using KIDS. (2) 137,883 claims were excluded because the reason for denial was not recorded. (3) Data reported in this column include both denials by insurers when municipalities sought preauthorization, and denials when preauthorization was not sought. Table 12 - Number and Amount of Claims Submitted By Municipalities to Medicaid By Payment Status. January 1, 2007 – December 31, 2007 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Claims Submitted 19,943 2,732 21,875 5,265 7,529 18,354 6,915 6,245 20,461 4,509 5,200 5,269 22,544 91,903 2,404 3,033 3,613 8,571 9,873 163 203 5,348 1,465 4,564 4,709 74,495 4,718 84,078 24,735 19,884 55,370 9,241 42,811 5,083 12,296 3,195 4,471 21,469 108,019 6,654 20,820 19,084 3,991 909 4,119 16,077 61,712 7,270 4,453 11,170 13,876 10,636 9,911 10,256 147,180 3,265 1,719 4,194,459 1,105,657 5,300,116 Data Source: OMM/DOIT, report received 5/8/08 Claims 18,687 2,480 19,920 5,017 7,067 14,480 6,728 5,578 19,372 4,188 5,130 4,985 19,998 84,292 2,090 2,830 3,210 8,105 5,726 161 188 5,027 1,332 3,954 4,507 60,824 4,251 68,319 22,916 19,510 45,840 7,126 34,699 4,533 11,013 2,879 1,862 19,581 96,895 6,298 13,702 15,146 2,859 821 3,252 9,724 49,136 5,597 4,212 10,089 13482 6,373 4,728 9,509 127,685 2,725 1,673 2,360,548 942,311 3,302,859 Claims Paid Amount Percent 93.7% $1,141,531.00 90.8% $190,131.95 91.1% $1,303,726.03 95.3% $315,218.78 93.9% $421,455.70 78.9% $908,203.04 97.3% $445,060.34 89.3% $436,465.71 94.7% $1,276,093.76 92.9% $269,226.00 98.7% $264,312.15 94.6% $361,114.78 88.7% $1,262,456.02 91.7% $4,739,606.99 86.9% $131,271.04 93.3% $165,807.01 88.8% $215,113.00 94.6% $574,209.47 58.0% $388,883.00 98.8% $10,310.25 92.6% $11,671.30 94.0% $287,125.08 90.9% $37,067.50 86.6% $220,885.27 95.7% $272,706.55 81.6% $4,168,317.05 90.1% $269,995.00 81.3% $5,917,533.37 92.6% $1,315,057.40 98.1% $1,156,737.70 82.8% $2,686,531.95 77.1% $404,942.86 81.1% $2,513,399.28 $306,194.87 89.2% 89.6% $722,140.10 90.1% $179,903.97 41.6% $129,956.00 91.2% $1,202,934.41 89.7% $7,652,564.54 94.6% $407,219.90 65.8% $867,033.00 79.4% $808,868.44 71.6% $182,106.81 90.3% $55,659.50 79.0% $166,352.34 60.5% $651,818.00 79.6% $4,241,632.97 77.0% $431,495.94 94.6% $273,308.63 90.3% $594,696.98 97.2% $980,119.30 59.9% $373,787.90 47.7% $301,616.11 92.7% $635,003.65 86.8% $7,925,434.63 83.5% $171,412.09 97.3% $102,296.00 56.3% $196,463,782.63 85.2% $63,445,722.41 62.3% $259,909,505.04 Claims 1,256 252 1,955 248 462 3,874 187 667 1,089 321 70 284 2,546 7,611 314 203 403 466 4,147 2 15 321 133 610 202 13,671 467 15,759 1,819 374 9,530 2,115 8,112 550 1,283 316 2,609 1,888 11,124 356 7,118 3,938 1,132 88 867 6,353 12,576 1,673 241 1,081 394 4,263 5,183 747 19,495 540 46 1,833,911 163,346 1,997,257 Claims Denied Percent Amount 6.3% $69,196.00 9.2% $22,169.00 8.9% $113,984.00 4.7% $13,599.00 6.1% $21,340.00 21.1% $303,872.00 2.7% $12,056.25 10.7% $35,794.50 5.3% $55,205.00 7.1% $17,171.00 1.3% $3,221.00 5.4% $19,350.50 11.3% $142,806.00 8.3% $401,739.00 13.1% $17,864.50 6.7% $12,898.00 11.2% $25,697.00 5.4% $36,844.75 42.0% $182,578.00 1.2% $71.25 7.4% $753.25 6.0% $15,221.25 9.1% $3,355.00 13.4% $35,272.25 4.3% $7,289.50 18.4% $850,608.50 9.9% $29,147.00 18.7% $1,376,300.00 7.4% $129,947.00 1.9% $19,408.75 17.2% $563,870.25 22.9% $121,426.50 18.9% $513,065.50 10.8% $37,006.00 10.4% $76,518.75 9.9% $18,361.50 58.4% $182,501.00 8.8% $93,537.00 10.3% $833,411.00 5.4% $20,288.75 34.2% $438,530.00 20.6% $198,267.00 28.4% $72,514.00 9.7% $6,160.00 21.0% $40,280.00 39.5% $406,715.50 20.4% $1,014,289.00 23.0% $116,303.75 5.4% $13,909.00 9.7% $62,306.00 2.8% $25,299.25 40.1% $242,182.75 52.3% $253,365.00 7.3% $39,624.50 13.2% $1,114,561.00 16.5% $31,462.25 2.7% $1,838.00 43.7% $141,393,123.00 14.8% $10,512,352.50 37.7% $151,905,475.50 Table 13 - Number of Claims Submitted By Municipalities and Denied by Medicaid By Reason for Denial. January 1, 2007 – December 31, 2007 Municipality Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates New York City Rest of State New York State Total Denials 1,256 252 1,955 248 462 3,874 187 667 1,089 321 70 284 2,546 7,611 314 203 403 466 4,147 2 15 321 133 610 202 13,671 467 15,759 1,819 374 9,530 2,115 8,112 550 1,283 316 2,609 1,888 11,124 356 7,118 3,938 1,132 88 867 6,353 12,576 1,673 241 1,081 394 4,263 5,183 747 19,495 540 46 1,833,911 163,346 1,997,257 Recipient Ineligible On Service Date Third Party Indicated/ Other Insurance Amt Not Submitted 967 32 1,562 194 291 2,028 64 357 677 251 61 251 1,980 7,005 255 142 162 442 986 2 8 230 133 400 53 8,174 327 13,713 1,307 283 2,890 1,176 5,167 121 1,100 221 874 900 10,366 239 2,218 3,059 87 86 416 835 8,846 1,074 169 1,009 239 1,956 1,645 560 15,160 497 2 925,386 103,249 1,028,635 Data Source: OMM/DOIT, report received 5/8/08 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 457,261 36 457,297 Duplicate Claim In History 11 98 13 9 2 1,818 61 7 1 4 1 0 24 14 5 53 198 16 2,041 0 3 0 0 115 0 2,845 14 1,665 342 12 5,840 812 1,133 377 59 28 1,594 0 398 1 3,841 21 1,028 2 422 5,179 1,764 4 4 23 11 2,252 1,887 157 2,069 1 0 175,689 38,279 213,968 Recipient Not On Restricted Recipient File 64 6 54 38 21 0 6 132 160 54 0 3 311 103 0 0 25 4 667 0 2 28 0 0 67 1,611 104 145 23 15 129 5 948 10 13 2 60 516 145 69 398 402 0 0 0 68 1,409 83 47 15 12 54 1,324 6 1,128 16 16 194,330 10,518 204,848 Recipient Not Recipient Authorized Sex or Birth For Date Not Restricted Equal File Program On Service Date 5 0 16 0 45 19 24 61 70 0 0 10 3 74 27 1 0 0 0 0 0 0 0 8 0 350 0 56 71 28 19 12 72 0 41 0 11 275 67 3 484 114 7 0 11 0 180 348 16 0 102 0 74 2 206 7 5 55,561 2,924 58,485 188 31 246 6 102 9 26 77 172 10 6 20 166 290 8 6 12 4 315 0 1 49 0 11 64 554 22 84 72 9 313 17 376 42 36 52 46 84 137 41 116 191 10 0 16 149 131 123 5 8 11 1 142 17 686 19 23 7,465 5,352 12,817 Recipient Coverage Claim Indicates Recipient Provider Not Capitation Recipient ID Age Invalid Equal Claims And Number Not For Early Restriction Prepaid On File Intervention Recipient Capitation Claim File Provider Plan Refer Service Only 0 3 44 0 0 0 0 0 0 0 0 0 4 54 0 0 0 0 0 0 0 0 0 71 0 33 0 0 0 0 37 0 101 0 29 2 0 0 1 0 38 52 0 0 0 0 86 5 0 0 0 0 0 0 54 0 0 9,334 614 9,948 0 0 0 0 0 0 0 0 0 0 0 0 10 21 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 79 7 0 0 0 0 2 1 0 3 3 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 7,707 132 7,839 21 47 20 1 1 0 6 33 9 2 0 0 48 50 19 0 6 0 138 0 1 14 0 5 15 93 0 27 3 27 302 14 305 0 3 4 24 111 9 0 20 96 0 0 2 122 51 34 0 26 19 0 111 5 192 0 0 466 2,036 2,502 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 414 0 414 Other 0 35 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 1 11 0 32 1 0 0 0 3 0 2 6 0 0 0 3 0 0 0 0 0 0 109 0 0 0 0 0 0 0 0 0 0 298 206 504
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